Provider Demographics
NPI:1295471605
Name:LENOX, SHERRIE R (NP)
Entity Type:Individual
Prefix:MRS
First Name:SHERRIE
Middle Name:R
Last Name:LENOX
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9925 SILVER MAPLE WAY
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-5419
Mailing Address - Country:US
Mailing Address - Phone:720-612-0610
Mailing Address - Fax:
Practice Address - Street 1:10107 RIDGEGATE PKWY STE 120
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5640
Practice Address - Country:US
Practice Address - Phone:303-955-7574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-09
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN-0140846163W00000X
CO997733363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse